<!--
  ========================LICENSE_START=================================
  screenit-web
  %%
  Copyright (C) 2012 - 2020 Facilitaire Samenwerking Bevolkingsonderzoek
  %%
  This program is free software: you can redistribute it and/or modify
  it under the terms of the GNU Affero General Public License as published by
  the Free Software Foundation, either version 3 of the License, or
  (at your option) any later version.
  
  This program is distributed in the hope that it will be useful,
  but WITHOUT ANY WARRANTY; without even the implied warranty of
  MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.  See the
  GNU General Public License for more details.
  
  You should have received a copy of the GNU Affero General Public License
  along with this program.  If not, see <http://www.gnu.org/licenses/>.
  =========================LICENSE_END==================================
  -->
<html xmlns:wicket="http://wicket.apache.org">
<wicket:extend>
    <div class="row-fluid">
        <div class="span9">
            <h1 class="pageTitle">Screeningseenheid - Gegevens</h1>
        </div>
        <div class="span3">
            <button class="btn right" wicket:id="terug">Terug</button>
        </div>
    </div>
    <div class="row-fluid form-horizontal">
        <fieldset class="form-horizontal">
            <form wicket:id="seWijzigenForm" novalidate>
                <fieldset>
                    <div class="row-fluid">
                        <div class="span9">
                            <div class="control-group">
                                <label class="control-label span4">Code screeningseenheid</label>
                                <div class="controls">
                                    <input type="text" wicket:id="code">
                                </div>
                            </div>
                        </div>
                    </div>
                    <div class="row-fluid">

                        <div class="span9">
                            <div class="control-group">
                                <label class="control-label span4">Naam screeningseenheid</label>
                                <div class="controls">
                                    <input type="text" wicket:id="naam">
                                </div>
                            </div>
                        </div>
                    </div>

                    <div class="row-fluid">
                        <div class="span9">
                            <div class="control-group">
                                <label class="control-label span4">IP-adres server screeningseenheid</label>
                                <div class="controls">
                                    <input type="text" wicket:id="ipAdres">
                                </div>
                            </div>
                        </div>
                    </div>

                    <div class="row-fluid">
                        <div class="span9">
                            <wicket:enclosure child="beoordelingsEenheid.parent.regio.naam">
                                <div class="control-group">
                                    <label class="control-label span4">Screeningsorganisatie</label>
                                    <div class="controls">
                                        <strong wicket:id="beoordelingsEenheid.parent.regio.naam"/>
                                    </div>
                                </div>
                            </wicket:enclosure>
                        </div>
                    </div>

                    <div class="row-fluid">
                        <div class="span9">
                            <div class="control-group">
                                <label class="control-label span4">Beoordelingseenheid</label>
                                <div class="controls">
                                    <select wicket:id="beoordelingsEenheid"/>
                                </div>
                            </div>
                        </div>
                    </div>
                </fieldset>
                <fieldset>
                    <div class="row-fluid">
                        <div class="span9">
                            <legend>Tijdelijke beoordelingseenheid</legend>
                        </div>
                    </div>
                    <div class="row-fluid">
                        <div class="span12">
                            <div class="control-group ">
                                <label class="control-label span3">Tijdelijke beoordelingseenheid</label>
                                <div class="controls">
                                    <select wicket:id="tijdelijkeBeoordelingsEenheid"/>
                                </div>
                            </div>
                        </div>
                    </div>
                    <div class="row-fluid">
                        <div class="span12">
                            <div class="control-group">
                                <label class="control-label span3" for="vanafDatum">Vanaf onderzoeksdatum</label>
                                <div class="controls">
                                    <div class="input-append">
                                        <input class="input" type="text" placeholder="dd-mm-yyyy" id="vanafDatum" wicket:id="tijdelijkeBeVanafDatum">
                                        <a href="javascript:void(0);" class="add-on" onclick="$(this).prev().datepicker({ changeMonth: true, changeYear: true});" title="Datum"
                                           tabindex="-1"> <i class="icon-calendar"></i></a>
                                    </div>
                                </div>
                            </div>
                        </div>
                    </div>
                    <div class="row-fluid">
                        <div class="span12">
                            <div class="control-group">
                                <label class="control-label span3" for="totEnMetDatum">Tot en met onderzoeksdatum</label>
                                <div class="controls">
                                    <div class="input-append">
                                        <input class="input" placeholder="dd-mm-yyyy" type="text" id="totEnMetDatum" wicket:id="tijdelijkeBeTotEnMetDatum">
                                        <a href="javascript:void(0);" class="add-on" onclick="$(this).prev().datepicker({ changeMonth: true, changeYear: true});" title="Datum"
                                           tabindex="-1"> <i class="icon-calendar"></i></a>
                                    </div>
                                </div>
                            </div>
                        </div>
                    </div>
                </fieldset>
                <fieldset>
                    <div class="row-fluid">
                        <div class="span12">
                            <legend>Eigenschappen</legend>
                        </div>
                    </div>
                    <div class="row-fluid">
                        <div class="span9">
                            <div class="control-group">
                                <label class="control-label span4">Mobiliteit</label>
                                <div class="controls">
                                    <select wicket:id="isMobiel">
                                        <option>Mobiel</option>
                                        <option>Vast</option>
                                    </select>
                                </div>
                            </div>
                        </div>
                    </div>
                    <div class="row-fluid">
                        <div class="span9">
                            <div class="control-group">
                                <label class="control-label span4">Lift</label>
                                <div class="controls">
                                    <select wicket:id="heeftLift">
                                        <option>Ja</option>
                                        <option>Nee</option>
                                    </select>
                                </div>
                            </div>
                        </div>
                    </div>
                </fieldset>

                <fieldset>
                    <div class="row-fluid">
                        <div class="span12">
                            <legend>Mindervalide afspraken</legend>
                        </div>
                    </div>
                    <div class="row-fluid">
                        <div class="span9">
                            <div class="control-group">
                                <label class="control-label span4">Duur per afspraak</label>
                                <div class="controls">
                                    <select wicket:id="duurMinderValideAfspraak">
                                        <option></option>
                                    </select> minuten
                                </div>
                            </div>
                        </div>
                    </div>
                    <div class="row-fluid">
                        <div class="span9">
                            <div class="control-group">
                                <label class="control-label span4">Periode voor mindervalide afspraken (1)</label>
                                <div class="controls">
                                    <wicket:container wicket:id="minderValidePeriode1Vanaf"></wicket:container> - <wicket:container wicket:id="minderValidePeriode1TotEnMet"></wicket:container>
                                </div>
                            </div>
                        </div>
                    </div>
                    <div class="row-fluid">
                        <div class="span9">
                            <div class="control-group">
                                <label class="control-label span4">Periode voor mindervalide afspraken (2)</label>
                                <div class="controls">
                                    <wicket:container wicket:id="minderValidePeriode2Vanaf"></wicket:container> - <wicket:container wicket:id="minderValidePeriode2TotEnMet"></wicket:container>
                                </div>
                            </div>
                        </div>
                    </div>
                </fieldset>

                <div class="row-fluid">
                    <div class="span12">
                        <div class="form-actions clearfix">
                            <button wicket:id="inActiveren" class="btn">
                                <i class="icon-minus-sign"></i><span wicket:id="inActiverenTitle">Verwijderen</span>
                            </button>
                            <button class="btn btn-primary" wicket:id="opslaan">Opslaan
                            </button>
                        </div>
                    </div>
                </div>

            </form>
        </fieldset>

    </div>
    <fieldset>
        <div class="row-fluid">
            <div class="span12">
                <div wicket:id="mammografenPanel"/>
            </div>
        </div>
    </fieldset>
    <div wicket:id="dialog"></div>
</wicket:extend>
</html>
